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Estimated patient savings $600,000,000.00
Rilutek Patient Assistance Program

Summary

Sanofi-Aventis is among the top pharmaceutical companies in the country, manufacturing household name products such as Plavix and Ambien. Their four research and developments sites in the United States are staffed by 2,500 scientists, support staff, and physicians. With global headquarters in Paris, France and United States headquarters in Bridgewater, New Jersey, they employ 17,500 scientists in over 20 research centers around the country. Sanofi focuses on thrombosis, cardiology, oncology, internal medicine, metabolic disorders, that which afflicts the central nervous system, and creating vaccines.

Rilutek is a treatment for Lou Gherig’s disease launched by Sanofi-Aventis in 1995. Rilutek has been approved by the FDA to treat ALS. Rilutek is administered orally via a tablet.

Eligibility

Rilutek Patient Assistance Program, a patient assistance program provided by Sanofi-Aventis, offers a three month supply of Rilutek no cost to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must not be covered by any private or public prescription coverage programs OR you must have reached your coverage cap OR you cannot afford the co-payments.

- You must be diagnosed with ALS.

- You must be a citizen of the United States or its Territories.

- You must meet an undisclosed income guideline.

The medication must be sent to the physicians office.

Those eligible for Medicare Part D but not enrolled may still be eligible.

SOURCE: 2008 Poverty Chart
Family Size
300%
250%
200%
150%
133%
100%
1
$32,490
$27,075
$21,660
$16,245
$14,404
$10,830
2
$43,710
$36,425
$29,140
$21,855
$19,378
$14,570
3
$54,930
$45,775
$36,620
$27,465
$24,352
$18,310
4
$66,150
$55,125
$44,100
$33,075
$29,327
$22,050
5
$77,370
$64,475
$51,580
$38,685
$34,301
$25,790
6
$88,590
$73,825
$59,060
$44,295
$39,275
$29,530
7
$99,810
$83,175
$66,540
$49,905
$44,249
$33,270
8
$111,030
$92,525
$74,020
$55,515
$49,223
$37,010
Each Additional Family Member
$11,220
$9,350
$7,480
$5,610
$4,974
$3,740

What´s Next?

Fill out the program enrollment form located to your right. If you don't see an enrollment form available please call Sanofi-Aventis program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.

Other Tips

  • If you have any questions please call the Sanofi-Aventis program directly.
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in.
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don't run out of medication.
  • Do not write messy on your forms as this will delay any response.
  • Call and write thank you notes to AAI Pharma Inc. program. Without their help millions of people will be without medication.

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